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General NPI Number Information
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NPI Number | 1558367755
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Entity Type | Individual
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Provider Name | CYNTHIA M WALKER APRN
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Gender | Female
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 05/19/2022
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Provider Practice Location Address
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Address Line | 1845 FAIRMOUNT ST
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City | WICHITA
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State | KS
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Zip | 67260-0092
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Country | US
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Telephone | 316-978-3620
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Fax | 316-978-3517
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Provider Business Mailing Address
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Address Line | 1845 FAIRMOUNT ST
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City | WICHITA
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State | KS
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Zip | 67260-0092
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Country | US
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Telephone | 316-978-3620
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Fax | 316-978-3517
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 45257
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 53-45257-032
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 53-45257-032
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License Number State | KS
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Taxonomy #4
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 53-45257-032
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License Number State | KS
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